The Centers for Medicare & Medicaid Services (CMS) announced on Thursday new policies related to the Navigator program and enrollment education for the upcoming Health Insurance Marketplace open enrollment period.
For the upcoming enrollment period, Navigator grantees will receive funding based on their ability to meet their enrollment goals during the previous year. For example, a grantee that achieved 100 percent or more of its enrollment goal for plan year 2017 will receive the same level of funding as last year. CMS said, “these performance-based adjustments will ensure accountability within the Navigator program and avoid rewarding grantees that have failed to meet their performance measures.”
The ACA established the Navigator program to help facilitate consumer education and enrollment. Funding for the Navigator program and open enrollment promotional activities comes from user fees paid by issuers who are participating in the FFE.
CMS plans to spend $10 million on promotional activities in order to meet the needs of new or returning ACA enrollees – consistent with promotional spending on Medicare Advantage and Medicare Part D. CMS will target its advertising and outreach activities to educate consumers on the new dates of the Open Enrollment Period through digital media, email, and text messages. These outreach methodologies have proven the most effective in reaching existing and new enrollees.
Open enrollment on HealthCare.gov will run from November 1, 2017 to December 15, 2017, for plans with a start date after January 1, 2018.
Enroll Michigan will provide additional updates as more information becomes available.